Noncancerous growths that grow in the wall of the uterus are known as uterine fibroids. If symptoms like heavy or painful bleeding occur, and other treatments are ineffective, a doctor may recommend Fibroid Removal Surgery.
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Fibroids are common, and it is difficult to determine the percentage of people who have them, as not everyone experiences symptoms.
It can be varied in size from a grapefruit or even larger to a very small. Usually, people with fibroids are unaware that they have them. People with asymptomatic fibroids do not require surgery or other treatments.
However, sometimes people may experience pressure, abdominal pain, bloating, frequent urination, pain during sex, and heavy or painful periods. These individuals may require surgery.
In this article, We are going to learn more about fibroids removal, including the types, risks, and what to expect.
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what are the Types of Fibroid Removal Surgery?
According to your condition, your doctor may recommend a myomectomy for fibroids removal.
There are various different surgical approaches to treating fibroids. The types of surgery will depend on the location of the fibroid.
Myomectomy is a surgical procedure for fibroids removal. Depending on the place of these growths, a surgeon may also have to remove other tissue in the process.
It is a traditional technique and it is quite invasive as you have a large cut to perform this. This incision may go from the bellybutton to the bikini line or run horizontally along the bikini line. Laparoscopic surgeries can also be performed, which use smaller incisions but require more skill.
Well, this surgery preserves the uterus, women who wish to become pregnant should speak to a doctor about the possible complications. Those with very large or deeply embedded fibroids may only be able to have cesarean deliveries after this procedure.
Radiofrequency ablation procedure
This is another type of surgery for fibroids removal which using either an electric current, a laser, cold therapy, or ultrasound. It requires only a small incision.
Sometimes, it causes dangerous pregnancy complications, such as scarring and infection, so doctors do not recommend it for those who are planning future pregnancies.
This surgery is not used to remove fibroids, but it can help relieve heavy bleeding.
During the process, a surgeon uses a range of techniques that can include electric current, heat, freezing, lasers, or wire — to destroy the lining of the uterus. These techniques are used to reduce or stop heavy bleeding.
Endometrial ablation is less invasive than some other surgical options. Sometimes, doctors can even perform it on an outpatient basis in their office.
This procedure may prevent women from being able to get pregnant in the future, so it is not a good option for those who would still like to have children.
Fibroid or artery embolization
During this process, a surgeon can locate the blood vessels that feed into the fibroid and disrupt their blood supply. During artery embolization, the doctor will insert a tube into blood vessels that are used to supply the fibroid and then inject tiny particles that block the fibroid’s blood supply. The lack of blood shrinks the fibroids.
Doctors can do this procedure on both ways an inpatient or outpatient basis, and recovery is usually fairly straightforward. Fibroids do not grow back after embolization.
While pregnancy is sometimes possible after fibroid embolization, doctors do not know enough about the risks. Therefore, they do not recommend this procedure for women who wish to get pregnant.
Magnetic resonance-guided focused ultrasound surgery
In magnetic resonance-guided focused ultrasound (MRgFUS), a doctor uses an ultrasound to heat and destroy fibroids.
This procedure can target the individual fibroids and avoid affecting the surrounding healthy tissue. A doctor will do an MRI scan to determine whether a person is a suitable candidate for MRgFUS. They may not recommend MRgFUS if the fibroids are too large or too close to any bones or the bowel.
MRgFUS may be a good option for women who plan to get pregnant, as it leaves the uterus intact. However, more data is necessary to confirm its safety for these individuals.
This is also a type of fibroid removal surgery that removes the uterus and, sometimes, the ovaries. It permanently eliminates uterine fibroids. This procedure is not useful if you are planning a future pregnancy, as it removes the womb. Some people opt to leave the ovaries in place so that they continue producing estrogen.
Laparoscopic hysterectomy can also be performed by the surgeon, which uses several small incisions and a tiny camera to help the surgeon see inside the abdomen. An open hysterectomy requires a large incision between the belly button and the bikini line.
Another option is a vaginal hysterectomy, which is the approach that most people prefer. In this procedure, a surgeon will remove the uterus through the vagina.
A vaginal hysterectomy may not be possible if the uterus or fibroid is too large to fit through the vagina.
Individuals who undergo an open hysterectomy may have a longer recovery time. Doctors usually recommend a hysterectomy only for those whose fibroids are very large or significantly interfere with their quality of life.
People who have other reproductive health issues, such as endometriosis, may find that a hysterectomy provides significant relief from fibroids and other symptoms.
Morcellation is a procedure that reduces the size of fibroids so that a surgeon can remove them through a tiny incision in the abdomen. A doctor may use morcellation during a myomectomy, hysterectomy, or other surgery.
However, the Food and Drug Administration (FDA) cautions that morcellation carries significant risks.
While fibroids are not cancerous, uterine cancer is more common in people having fibroid surgery than experts previously thought.
It can also be difficult to tell the difference between a fibroid and a type of cancer that looks the same. According to the FDA, morcellation may inadvertently spread cancer that resembles a fibroid.
Is Surgery Necessary for Fibroid Removal Surgery?
Not everyone who is having fibroids needs treatment. In general, there is no reason to treat fibroids that cause no symptoms.
Some patients with fibroids can treat their symptoms successfully with medication, including hormonal birth control pills.
Before considering removal surgery, people can ask a doctor about other treatment options. The doctor should also discuss all the details to the patients about the risks and benefits of each surgical procedure.
Fibroids can shrink or disappear after menopause, so people nearing menopause whose symptoms are not severe may wish to postpone treatment.
What are the Benefits of Fibroid Removal Surgery?
The benefits of the discussed surgery depend on the type of surgery and can vary from person to person. For example, the fibroids will grow back after hysterectomy surgery. However, they may regrow following other procedures.
Some possible benefits of the removal include
- Reduced bleeding
- Relief from pain or pressure
- Removal of fibroids
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What are the Risks Associated with Surgery?
Most people who have fibroid removal surgery have no serious complications, but they may experience pain or bleeding following surgery and will need time to recover.
However, a small number of people do face serious complications. The specific complications and their likelihood depend on the type of surgery that a person chooses, but they can include:
- Failed surgery
- Anesthesia-related risks
- Heavy bleeding
- Regrowth of fibroids
- Damage to the uterus
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